首页|老年冠心病患者服药依从性情况与其影响因素的多元线性回归调查

老年冠心病患者服药依从性情况与其影响因素的多元线性回归调查

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目的 探讨130例老年冠心病(CHD)患者服药依从性情况与其影响因素。方法 回顾性研究选取2022年8月—2023年9月焦作市第二人民医院心内科收治的130例老年CHD患者的临床资料。统计患者服药依从性各条目得分情况、不同特征服药依从性,并采用纳入多元线性回归分析患者服药依从性的影响因素。结果 患者在条目"您是否有忘记服药的情况""这2周内是否因除忘记服药的其他原因而漏服过药物"中选择"是"的占比较高,分别为56。92%、60。77%。年龄>75岁、未婚/离异/丧偶、无业、在职、合并糖尿病、高血压的患者服药依从性量表(MMAS-8)评分较低;小学及以下的患者评分低于初中、高中及以上患者,初中患者低于高中及以上患者;服药数量>4种的患者评分低于服药数量4种及<4种的患者,服药数量4种的患者低于服药数量<4种患者;家庭月收入1000~<2 000元的患者评分低于家庭月收入≥3 000元、2000~<3 000元的患者,家庭月收入2 000~<3 000 元的患者低于家庭月收入≥3 000元的患者;服药次数>7次/d的患者低于服药次数5~7次/d、<5次/d的患者,服药次数5~7次/d的患者低于服药次数<5次/d的患者(P<0。05)。多元线性回归分析结果显示,年龄>75岁、未婚/离异/丧偶、合并糖尿病、高血压、小学及以下、服药数量>4种、家庭月收入1 000~<2 000元、服药次数>7次/d是老年CHD患者服药依从性的危险因素(P<0。05)。结论 老年CHD患者会忘记服药或漏服药物的占比较高,而年龄>75岁、未婚/离异/丧偶、合并糖尿病、高血压、小学及以下、服药数量>4种、家庭月收入1 000~<2 000元、服药次数>7次/d是老年CHD患者服药依从性的危险因素,临床可据此给予针对性的干预以积极改善老年CHD患者服药依从性。
Multiple linear regression survey on medication adherence and influencing factors in elderly patients with coronary heart disease
Objective To explore the medication adherence and its influencing factors in 130 elderly patients with coronary heart disease(CHD).Methods The clinical data of 130 elderly patients with CHD treated in Jiaozuo Second People's Hospital from August 2022 to September 2023 were retrospectively analyzed.The scores of each i-tem and different characteristics of patients'medication compliance were counted,and the influencing factors of pa-tients'medication compliance were analyzed by incorporating multiple linear regression.Results In the items"Have you ever forgotten to take your medication"and"Have you ever missed taking medication within the past two weeks due to reasons other than forgetting to take medication",the proportion of patients who chose"Yes"was rel-atively high,56.92%and 60.77%respectively.Patients with age>75 years old,unmarried/divorced/widowed,unemployed,employed,combined with diabetes and hypertension had lower scores of medication compliance scale(MM AS-8);the scores of patients in primary school and below were lower than those in middle school,high school and above,and those in middle school were lower than those in high school and above;the score of patients with>4 kinds of medication was lower than that of patients with 4 kinds and<4 kinds of medication,and the score of patients with 4 kinds of medication was lower than that of patients with<4 kinds of medication.The score of patients with monthly family income of 1 000~<2 000 yuan was lower than that of patients with monthly family income of ≥ 3 000 yuan or 2 000~<3 000 yuan,and the score of patients with monthly family income of 2 000~<3 000 yuan was lower than that of patients with monthly family income of ≥3 000 yuan.Patients who took medi-cine>7 times/d were lower than those who took medicine 5~7 times/d and<5 times/d,and those who took medicine 5~7 times/d were lower than those who took medicine<5 times/d(P<0.05).Multiple linear regres-sion analysis showed that age>75 years old,unmarried/divorced/widowed,combined diabetes,hypertension,primary school or below,number of medication>4 kinds,monthly family income 1 000~2 000 yuan,number of medication>7 times/d were the risk factors for medication compliance in elderly patients with CHD(P<0.05).Conclusion A high proportion of elderly patients with CHD forgot to take medication or missed taking medication,while age>75 years old,unmarried/divorced/widowed,combined with diabetes,hypertension,primary school or below,number of medications>4,monthly family income of 1 000~2 000 yuan,and number of medications>7 times/d were risk factors for medication compliance in elderly patients with CHD.Therefore,targeted intervention could be given to improve the medication compliance of elderly patients with CHD.

Coronary heart diseaseOld ageMedication complianceInfluencing factor

丁美幸、杨彦萍、王佳琪

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河南理工大学第一附属医院,焦作市第二人民医院心血管内科,河南 焦作 454001

冠心病 老年 服药依从性 影响因素

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(24)